Whipple operation revisited.
The Whipple procedure traditionally is associated with an operative mortality of 20 to 25 percent. As a result, percutaneous and endoscopic techniques have been advocated to alleviate symptoms in patients with periampullary carcinoma. Now, dramatic reductions in operative mortality rates have been reported. Since radical pancreaticoduodenectomy is the only treatment for cure, a re-evaluation of the role of this procedure is warranted.
Spain
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Division of General Surgery, UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903-0019.
Greco
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D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000401:mortality / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D011379:Prognosis